Organization Active NPI

Advanced Primary Care Associates

  • Nurse Practitioner
  • Bethlehem, PA
National Provider Identifier
1629580428
Registry record updated Nov 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP017592 Issued in PA
Legal business name
ADVANCED PRIMARY CARE ASSOCIATES
Practice address
701 W Union Blvd Unit 5
Bethlehem, PA 18018-3732
Phone
(610) 897-2045
Fax
(610) 897-2046
NPI assigned
Nov 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rachel Mary Hlavinka, RNNPI 1013567346
Title
Office Manager
Phone
(610) 730-8025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X SP017592 PA Primary

Addresses

Primary practice location

701 W Union Blvd Unit 5
Bethlehem, PA 18018-3732

Mailing address

701 W Union Blvd Unit 5
Bethlehem, PA 18018-3732
Phone (610) 897-2045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171220002165 PA Part B Supplier - Clinic/Group Practice 0143588111 Receives reassigned benefits from 2 practitioners
Practice locations: Bethlehem, PA

National Provider Directory

National Provider Directory

Locations

701 W Union Blvd
Unit 5
Bethlehem, PA 18018
Phone (610) 897-2045

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16760/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509580800000",
    "number": "1629580428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W UNION BLVD UNIT 5",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180183732",
            "telephone_number": "610-897-2045",
            "fax_number": "610-897-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W UNION BLVD UNIT 5",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180183732",
            "telephone_number": "610-897-2045",
            "fax_number": "610-897-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PRIMARY CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A",
        "authorized_official_last_name": "HLAVINKA",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-730-8025",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP017592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.